Enrollment Form

Learner Eligibility Minimums (additional requirements may be necessary for specific courses)

Carefully review and confirm/update the responses to the questions below. 
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Thank you for your interest. 

Based on your responses for the previous page, you do not meet one or all of the following minimum learner eligibility requirements to enroll in a Per Scholas course:
  1. At least 18 years of age. 
  2. Attained at least a HS diploma/equivalent or higher.
  3. Able to provide proof of work authorization.
If your situation changes, please resubmit a form. Best of luck on your future endeavors!














Please use this resource if unsure of your county or county equivalent: https://www.whatcountyamiin.com/


You must be at least 18 years of age to submit this form.

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You must have at least a high school diploma or equivalent to enroll in Per Scholas.





Please note, campus selection is not guaranteed. It is at the discretion of the Admissions team as some campuses have geographic restrictions.





Standard data and message rates apply. You may stop texts at any time by replying STOP and your consent will not impact your eligibility.

Employment Experience







Employment Details - Please complete the following for your current job, or if you are not currently working, your most recent job. 









Career Readiness





Tech Access




Use this guide to find out: https://www.wikihow.com/Check-Computer-RAM



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Household & Financial Information

Household


1 Child 2 or More Children N/A










Combined annual incomes of you and all family members in your household or place of residence. This includes all forms of earned income; e.g., wages, salaries, tips, and other taxable employee pay. This does not include savings, benefits, passive income, or inheritance funds.
Financial Support



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Additional Information


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